Tērā pea kei te wā e whakaaro ana kōrua ko tō hoa kua oti te whānau, ā, kāore kōrua e hiahia ana ki ētahi atu tamariki. Ina whakaaro koe ki te whakamahere whānau, ko te nuinga o te iwi e whakaaro ana ki ngā kōwhiringa mā ngā wāhine. Heoi anō, he tikanga whakamahere whānau tino whai hua, haumaru, ā, pumau hoki ka taea e ngā tāne te whakamahi. Koinei te mea ka kōrerohia e tātou i tēnei rā. Ko te pokanga whakamoe, ko te vasectomy rānei.
He aha tēnei pokanga whakamoe (vasectomy)?
He māmā noa iho, ko te tango i te kōpū he pokanga iti e mahia ana ki ngā tāne hei ārai i a rātou kei whānau tamariki. He tikanga ārai whānau/whakawhanau pumau tēnei.
Ka puta te parāoa, te parāoa tāne rānei, i roto i ngā poro o te tinana. Ka haere ēnei parāoa mā roto i ngā ngongo angiangi e rua e kiia nei ko ngā vas deferens hei hono atu ki te wai purapura. I roto i tēnei pokanga, ka tapahia ngā vas deferens e rua, ā, ka hiritia i ngā pito e rua. Ka ārai tēnei i te parāoa kei puta i te tinana.
Ko te mea nui rawa: Ka ārai noa tēnei i te haputanga. Kāore e whakarato i tētahi tiaki mai i ngā mate tuku iho (STI). He mea nui kia whakamahia ngā tikanga tiaki pēnei i te ure tāne.
He aha te mea ka tupu ki te tinana i muri i te pokanga?
He raruraru tēnei mō te tini o te tangata. Whai muri i te pokanga, ka haere tonu te whakaputa parāoa o ngā whekau. Engari nā te mea kāore e taea e aua parāoa te puta ki waho, ka mate i muri i tētahi wā, ā, ka mimitihia anō e te tinana. He tukanga noa tēnei, pērā i te mate o ētahi atu pūtau o te tinana, ka puta mai he pūtau hou.
Kāore tēnei pokanga e pā ki ēnei mea mōu:
- Tō Hiahia/Pūmanawa Ira Tangata
- Te kaha ki te whiwhi i te whakaarahanga
- Te kaha ki te whakaputa purapura
Ko te rerekētanga anake ko te korenga o te parāoa i roto i te wai i puta mai. Kāore he rerekētanga o te rahi, te āhua, te reka rānei.
E angitu ana tēnei tikanga 100%?
Kāore he tikanga ārai whānau e tino whai hua ana. Ko te kore whakawhanau anake te tikanga e tino whai hua ana. Heoi, ki te whakaritea ki ngā tikanga ārai whānau katoa, ko te Vasectomy te mea tino whai hua .
He tino iti te auau rahunga o tēnei. Tērā pea ka toe ētahi parāoa i roto i te parāoa mō ngā marama tuatahi e 3-6 i muri i te pokanga. Engari i muri i tēnā, he iti iho i te 1% te mōrearea o te rahunga. Ahakoa te whakamahinga tika, he 2% te auau rahunga o ngā ure tāwharau ki te ārai i te hāputanga. Ki te whakaarohia tēnā, ka taea e koe te whakaaro ki te whai huatanga o tēnei.
Ngā mea hei mōhio me ngā whakaritenga i mua i te pokanga
Ehara tēnei i te mea ka taea te mahi katoa i te wā kotahi. He maha ngā mahi i mua i tēnā.
1. Kōrerorero hauora (Whakawhitiwhiti kōrero)
Koinei te taahiraa tino nui. Mena kei te whakaaro koe ki tēnei pokanga, me kōrero pai koe ki tō hoa rangatira i te tuatahi. Kātahi ka tūtaki koe ki tētahi tākuta hei matapaki i tēnei. Me tino mohio koe kāore koe e hiahia ana ki ētahi atu tamariki. Nā te mea kāore tēnei whakakorenga e angitu i ngā wā katoa, ā, he utu nui hoki.
E te tākuta, ka taea e koe te pātai mai i ēnei pātai.
| Pātai | He aha te hiranga o tēnā? |
|---|---|
| He nui rawa te toto e puta mai ana i a koe, he mate rānei e pā ana ki te toto? | Hei aromatawai i ngā mōrearea pea i te wā e pokanga ana. |
| He mate pāwera kei te pā ki te rongoā whakamoe ā-rohe, ki ētahi atu rongoā rānei? | Hei whakarite i te haumaru i te wā e pokanga ana. |
| He mate kiri kei reira (hei tauira, te hakihaki pangia) e pā ana ki ngā porotiti? | Hei whakaiti i te mōrearea o te mate. |
| He aha atu ngā rongoā (tae atu ki ngā rongoā ārai toto, ngā hua otaota) e tangohia ana e koe? | Hei whakatau mēnā me mutu te tango i ētahi rongoā i mua i te pokanga. |
| Kua whara koe, kua pokanga rānei (hei tauira, pokanga hernia) ki te rohe o te hope, ki ngā rakuraku rānei? | Hei tiki i ngā mōhiotanga nui i te wā e whakamahere ana i te pokanga. |
Kia maumahara: He tikanga tūao tēnei. Me mahi noa tēnei mēnā kei te tino mōhio koe. Mēnā he āwangawanga āu, kōrerohia ki tō tākuta i mua i te tikanga.
2. Te whakarite mō te pokanga
- Te Horoi: I te pō i mua, i te ata rānei o te pokanga, heua rawatia te rohe huri noa i te kiriuhi me te hope. He pai ake te whakamahi i te heu whakakorekore. Kātahi ka horoia rawatia te rohe ki te hopi paturopi ka whakamaroke.
- Kākahu: Ina haere mai koe ki te pokanga, he mea nui kia mauria mai he kākahu o roto piripono, tautoko (he tautoko hākinakina/he whitiki whakangungu) he tarau poto piripono rānei.
- Kai: Kaua e kai i te kai katoa i mua i te pokanga, kaua hoki e nohopuku. Mauria mai he kai māmā me ētahi wai.
Te āhua o te mahi pokanga
Ka mahia tēnei pokanga e te tākuta mimi, he taote pokanga e tohunga ana ki ngā pūnaha mimi me te pūnaha whakaputa uri. I te nuinga o te wā ka taea te whakaoti i roto i te 15-30 meneti noa iho. Kāore koe e hoatu he rongoā whakamoe, engari ka whakamahia he werohanga, he rehu rānei (whakamoe ā-rohe) hei whakangāwari i te wāhi e pokangahia ana.
E rua ngā tikanga matua:
1. Te Tātari i te Vasectomy: Kia kotahi, kia rua rānei ngā tātari iti rawa ka mahia ki te kiri o te scrotum, ka tangohia te vas deferens, ka tapahia, ā, ka katihia ngā pito.
2. Te tango i te kiri mā te kore he kōhao: I tēnei tikanga, hei utu mō te tapahi i te kiri, ka hangaia he kōhao iti ki tētahi mea koi, ā, ka tangohia te vas deferens mā roto. Ko tēnei tikanga te mea tino rongonui nā te mea he iti ake te mamae, he iti ake hoki te toto.
I ngā āhuatanga e rua, ka katihia te vas deferens mā te tapahi, te here, ā, i ētahi wā ka tahuna te pito ki te hiko.
Ngā painga me ngā mōrearea o te pokanga
Pērā i ngā mea katoa, he painga, he iti hoki ngā mōrearea.
Ngā Painga
- Tino whai hua: E ai ki tā tātou i kōrero ai i mua ake nei, koinei tētahi o ngā tikanga ārai whānau tino whai hua e wātea ana.
- Kotahi anake: Kotahi noa iho. Kāore he pire, he werohanga rānei e whakamahia ana i ia rā.
- Māmā ake i te pokanga mō ngā wāhine: He māmā ake tēnei, he haumaru ake, he iti ake hoki te utu i te herenga o ngā ngongo mō ngā wāhine.
- He whakamarie mō te hoa: Ka taea e ia te whakamama i te ahotea o te hoa mō ngā tikanga ārai whānau me ngā pānga taha o ngā pire homoni.
Ngā mōrearea iti
Pērā i ngā pokanga katoa, he iti noa ngā mōrearea, engari kāore i te tino noa.
- Mamae: Tērā pea ka pāngia koe e te mamae iti me te pupuhi mō ētahi rā i muri i te pokanga.
- Mate urutā: He iti noa te mōrearea o te mate urutā mai i ngā motu.
- Te Pūmua Parāoa:Tērā pea ka turuturu ētahi parāoa mai i te vas deferens, ka hanga he puku iti e rite ana ki te wheua. Kāore tēnei i te mea morearea, ā, ka mimitia e te tinana.
- Te mamae o muri i te pokanga: He tino onge (1-2%) te mamae roa o ngā poro i muri i te pokanga. Heoi, he maimoatanga kei reira mō tēnei.
Te whakaoranga me te tiaki i muri i te pokanga
He mea nui kia okioki mō ngā rā e rua, e toru rānei i muri i te pokanga.
- Ngā hāora tuatahi 48: Hei whakaiti i te pupuhi me te mamae, tāpirihia he putea hukapapa kua takaihia ki te tauera i ia wā (mō te 20 meneti pea).
- Te hiki taumaha: Kaua e hiki i te neke atu i te 5 kg mō te wiki kotahi, e rua rānei.
- Whakakorikori Tinana: Ka taea te tīmata i ngā mahi whakakorikori tinana māmā pēnei i te hikoi i roto i ētahi rā. Engari karohia ngā mahi whakakorikori tinana me ngā hākinakina taumaha pēnei i te oma, te pekepeke, me te hiki taumaha mō te iti rawa 2-4 wiki.
- Ngā mahi ā-ira tangata: Kaua e moe tāne, kaua hoki e mahi i te mirimiri mō te iti rawa i te wiki .
He mea nui te tātaritanga purapura
Koinei te mea tino nui: Ka roa pea ētahi wiki, ētahi marama rānei kia tangohia katoatia ai te toenga o te parāoa i roto i te vas deferens i muri i te pokanga. Nō reira, he mea nui kia whakamātauria he tauira parāoa (Tātari Parāoa) i roto i ngā marama e 2-3 i muri i te pokanga . Kia whakaū rā anō taua whakamātautau kāore he parāoa (Kore-Parāoa), me whakamahi tētahi atu tikanga whakahaere whānau (hei tauira, he ure tākihi). Ki te kore tēnei e mahia, ka hapu pea.
Āhea te wā tika kia kite tonu i te tākuta
Mena ka puta mai ētahi o ēnei tohu i muri i te pokanga, me toro atu ki tō tākuta tonu.
- Te kirika, te makariri, me te wiri.
- Te toto nui rawa, te pupuhi rānei mai i te motu.
- Te whero nui rawa atu, te pupuhi, me te mamae nui haere i te rohe o te kiriuhi.
- Te mamae nui e kore e taea te whakahaere e ngā rongoā whakamamae mamae kua tohua e te tākuta.
Karere Tangohia ki te Kāinga
- He tikanga pumau, tino whai hua, me te haumaru te vasectomy mō ngā tāne.
- Kāore tēnei pokanga e pā ki tō hiahia moepuku, tō whakaohooho, tō whakaputanga rānei i te ira tangata.
- I mua i te whakatau i te pokanga, kōrero marie ki tō hoa rangatira me te tākuta kia tino tika ai māu.
- Kia mahara ki te whakamahi i tētahi atu momo ārai whānau kia whakaū rā anō te tātaritanga purapura i muri i te 2-3 marama i muri i te pokanga kāore he purapura.
- Ahakoa e kiia ana tēnei he tikanga tuturu, e wātea ana ngā pokanga whakahurihuri mēnā e tika ana, engari kāore i te angitu i ngā wā katoa.
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